| NPI | 1831543131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2025-02543) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 86976) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2025-02543) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2025-08-13 |